DEPARTMENT OF INSURANCE

Affiliations

Name	Chapman, Andrew Charles	DOIID	963261	NAIC NPN	18152998

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	9/25/2024	1/31/2027
Active	Non Resident	Agent	Property	9/25/2024	1/31/2027
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	11/15/2026	01/31/2027

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Family Connect Property and Casualty Insurance Company	622403	Agent - Casualty	9/28/2022	7/27/2023
Inactive	American Family Connect Property and Casualty Insurance Company	622403	Agent - Property	9/28/2022	7/27/2023
Inactive	American Strategic Insurance Corp	883540	Agent - Casualty	10/8/2024	11/25/2025
Inactive	American Strategic Insurance Corp	883540	Agent - Property	10/8/2024	11/25/2025
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	10/10/2024	12/3/2025
Inactive	Bristol West Insurance Company	301655	Agent - Property	10/10/2024	12/3/2025
Inactive	CSAA Fire & Casualty Insurance Company	606666	Agent - Casualty	10/24/2024	11/21/2025
Inactive	CSAA Fire & Casualty Insurance Company	606666	Agent - Property	10/24/2024	11/21/2025
Inactive	CSAA General Insurance Company	606675	Agent - Casualty	10/24/2024	11/21/2025
Inactive	CSAA General Insurance Company	606675	Agent - Property	10/24/2024	11/21/2025
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	10/10/2024	12/3/2025
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	10/10/2024	12/3/2025
Inactive	Homesite Insurance Company	301139	Agent - Casualty	12/29/2022	7/29/2023
Inactive	Homesite Insurance Company	301139	Agent - Property	12/29/2022	7/29/2023
Inactive	Homesite Insurance Company of the Midwest	874850	Agent - Casualty	12/29/2022	7/29/2023
Inactive	Homesite Insurance Company of the Midwest	874850	Agent - Property	12/29/2022	7/29/2023
Inactive	Liberty Insurance Corporation	300444	Agent - Casualty	9/30/2017	2/1/2018
Inactive	Liberty Insurance Corporation	300444	Agent - Property	9/30/2017	2/1/2018
Inactive	Midvale Indemnity Company	300292	Agent - Casualty	12/29/2022	7/29/2023
Inactive	Midvale Indemnity Company	300292	Agent - Property	12/29/2022	7/29/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aca Club Insurance Agency, Inc.	1033550	Agent - Property	10/8/2024	11/19/2025
Inactive	Aca Club Insurance Agency, Inc.	1033550	Agent - Casualty	10/8/2024	11/19/2025